COVENANT CARE CALIFORNIA, LLC (NPI# 1043345812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043345812 |
| Entity Type | Organization |
| Organization Name | COVENANT CARE CALIFORNIA, LLC |
| Other Organization Name | LOS ALTOS SUB-ACUTE & REHABILITATION CENTER |
| Practice Address |
809 Fremont Avenue Los Altos CA 94024-5617 |
| Practice Telephone | 6509415255 |
| Practice Fax Number | 6509412822 |
| Mailing Telephone | 6509415255 |
| Mailing Fax Number | 6509412822 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-11-01 |
| Authorized Official Name | CAROL SPARKS (DIRECTOR OF REIMBURSMENT) |
| Authorized Official Telephone | 9493491200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 220000403 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZR06116H | 05 | |
| CA | OSHPD | 206430721 | 01 |
| Other Name | Type Code |
|---|---|
| Los Altos Sub-acute & Rehabilitation Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780719278 | Covenant Care California, LLC | Skilled Nursing Facility | 911 Bryant Street, Palo Alto, CA 94301-2711 | 2007-02-23 |
| 1437291929 | Covenant Care California, LLC | Skilled Nursing Facility | 3620 Dale Rd, Suite B, Modesto, CA 95356-0598 | 2007-02-13 |
| 1346382298 | Covenant Care California, LLC | Skilled Nursing Facility | 2124 57th Avenue, Oakland, CA 94621-4322 | 2007-02-13 |
| 1134261142 | Covenant Care California, LLC | Skilled Nursing Facility | 6821 24th Street, Sacramento, CA 95822-4037 | 2007-02-13 |
| 1831231877 | Covenant Care California, LLC | Skilled Nursing Facility | 8170 Murray Avenue, Gilroy, CA 95020-4605 | 2007-02-13 |
| 1053453902 | Covenant Care California, LLC | Skilled Nursing Facility | 2725 Pacific Avenue, Long Beach, CA 90806-2612 | 2007-02-13 |
| 1528100013 | Covenant Care California, LLC | Skilled Nursing Facility | 577 South Peach Avenue, Fresno, CA 93727-3952 | 2007-02-13 |
| 1801938816 | Covenant Care California, LLC | Skilled Nursing Facility | 9289 Branstetter Place, Stockton, CA 95209-1700 | 2007-02-13 |
| 1164563276 | Covenant Care California, LLC | Skilled Nursing Facility | 1111 E. Tuolumne Road, Turlock, CA 95382-1541 | 2007-02-09 |
| 1205977311 | Covenant Care California, LLC | Skilled Nursing Facility | 160 S Patterson Avenue, Santa Barbara, CA 93111-2006 | 2007-02-09 |
| Street Address |
809 FREMONT AVENUE |
| City | LOS ALTOS |
| State | CA |
| Zip Code | 94024-5617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383431 | Panakos Acupuncture Clinic | Clinic/Center | 851 Fremont Ave, Suite 114, Los Altos, CA 94024 | 2015-08-06 |
| 1487030078 | Nicole Lew | Physical Therapist | 1330 Bright Oaks Ct., Los Altos, CA 94024 | 2015-08-05 |
| 1255718144 | Ciara Johnson | Physical Medicine & Rehabilitation | 1635 Candace Way, Los Altos, CA 94024 | 2015-04-30 |
| 1639479744 | Eileen R Goldman | Marriage & Family Therapist | 2551 Grant Road, Mountain View, CA 94024 | 2010-10-25 |
| 1285890368 | Neilesh Shashikant Patel | Dentist | 595 Loyola, Los Altos, CA 94024 | 2008-07-29 |
| 1841478328 | Alejandro A Zaffaroni Md Inc | Ophthalmology | 762 Altos Oaks Drive, Suite 1, Los Altos, CA 94024 | 2008-02-06 |
| 1710164843 | Donald Robert Watters | Dentist | 851 Fremont Ave., Suite 101, Los Altos, CA 94024 | 2008-01-31 |
| 1508060443 | Verna Lee Stivender | Durable Medical Equipment & Medical Supplies | 1564 Miramonte Avenue, #a, Los Altos, CA 94024 | 2007-06-13 |
| 1770700627 | Deborah Amy Rovine | Psychiatry & Neurology | 1000 Fremont Ave Ste 250d, Los Altos, CA 94024 | 2007-04-20 |
| 1669503082 | Sheila Huang Humphries | Internal Medicine | 811 Altos Oaks Drive, Suite 2, Los Altos, CA 94024 | 2007-03-08 |
| Find all providers in zip 94024 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083795595 | Humangood Norcal | Skilled Nursing Facility | 373 Pine Ln, Los Altos, CA 94022 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1881210847 | Ghc of Tem - Snf, LLC | Skilled Nursing Facility | 44320 Campanula Way, Temecula, CA 92592-7903 | 2020-06-24 |
| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
| 1558998047 | Sunflower Clhf, Inc. | Skilled Nursing Facility | 1058 Ruberta Ave, Glendale, CA 91201-2105 | 2020-03-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.